How is body temperature regulated and what is fever?

Our internal body temperature is regulated by a part of our brain called the hypothalamus. The hypothalamus checks our current temperature and compares it with the normal temperature of about 37°C. If our temperature is too low, the hypothalamus makes sure that the body generates and maintains heat. If, on the other hand, our current body temperature is too high, heat is given off or sweat is produced to cool the skin.

Strictly speaking, body temperature refers to the temperature in the hypothalamus and in the vital internal organs. Because we cannot measure the temperature inside these organs, temperature is taken on parts of the body that are more accessible. But these measurements are always slightly inaccurate.

People get a fever when their brain sets the body temperature higher than normal. This may happen as a reaction to germs such as viruses or bacteria, but it can also happen as a reaction to substances that are made by the body, such as prostaglandins. Our body produces prostaglandins to fight off germs.

A body temperature of 38°C (100.4°F) or more is considered to be a fever in adults. Temperatures above 39.5°C (103.1°F) are considered to be a high fever, and very high fever is defined as any temperature above 41°C (105.8°F). A temperature between 37.5°C and 38°C is an elevated body temperature.

Children are considered to have a fever if they have a body temperature of 38.5°C (101.3°F) or more, and babies under three months old are already considered to have a fever at a body temperature of 38.0°C (100.4°F) or more.

The regulation of body temperature doesn't always work perfectly in younger children. Compared to older children and adults, they also sweat less when it is warm, and it takes longer for them to start sweating. That is why they are more likely to react with a fever. Babies and young children have a higher body temperature than older children. This is because their body surface area is larger in relation to their body weight. Their metabolism is more active too. Newborns usually have an average body temperature of between 36.5°C and 37.5°C.